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Request A Speaker

Would you like Equality NC to speak at your event?

Please fill out this speaker request form and e-mail it to enc@equalitync.org or fax it to (919) 827-4573 at least three weeks prior to your event. We will do our best to match you with the staff member, intern, board member, or volunteer most appropriate for your event.

 

Equality North Carolina Speaker Request Form

(Click here to download this as a Word document)

 

Title of Event: _______________________________________________

Date: _______________ Time: ______________ Location: __________

 

Requesting organization/church/club: ____________________________

          Contact person for event: _______________________________

          Contact’s e-mail and phone: _____________________________

 

Estimated number of attendees: _____________

Presentation topic:        NC LGBT Issues       State of Equality

Lobbying / Advocacy 101       Activist Training

Other: _______________________

 

Who is the audience for this event? (Please check all that apply):

Students       Parents       Community Members       Professionals

Straight Allies       People of Faith       People of Color       Transfolks

HIV/AIDS Activists       Other: _______________________

 

How many attendees do you estimate will be North Carolina residents?

All       Most       Half       Some       None

 

Please provide us with any additional information about your goals or expectations for this event and what you want the speaker to cover:

 

 

 

How will you promote this event? (Please check all that apply):

Newsletter       Listserv       Website       Announcements at Meetings

Newspaper       Other: _____________

 

How may we collect contact information from event participants?:

Petitions       Postcards      

Event coordinators will share registrant lists / sign-in sheets (including
e-mail/physical addresses)       Other: ______________

 

Would you promote future ENC events to your group, such as our annual Conference, Gala, and Day of Action?        Yes       No

 

Thank you for your request! We discuss scheduling at our weekly staff meetings and will respond to your request within seven days.

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